World Extreme Medicine Podcast
By World Extreme Medicine
With regular updates, our team brings you the latest from across the broad spectrum of extreme medicine disciplines, including expedition, space, remote, pre-hospital and humanitarian medicine as well as a range of topics across performance and non-technical skills. Enhance your ability to tackle challenges with new skills you can take home or out into the field.
Push the boundaries of your medical career!
From Perth to the Pilbara: Inside Remote Aboriginal Medicine & PAMS with Cara Sheppard
Cara Sheppard is the Senior Medical Officer at Puntukurnu Aboriginal Medical Service (PAMS), an Aboriginal Community Controlled Health Service in Western Australia's East Pilbara. In this episode, Marcus chats with Cara about what it really means to deliver healthcare in remote desert communities, where cultural safety, chronic disease, and deep-rooted systemic challenges intersect.
From the realities of diabetes in young people to the complexities of rheumatic heart disease, spiritual beliefs, and payback culture, Cara offers a brutally honest look at the highs, lows, and hard truths of her role.
Working with limited resources, vast distances, and the constant presence of cultural nuance, Cara shares:
The myths and facts about remote medicine
What makes PAMS unique
- How she juggled becoming a mother while working fly-in fly-out
- The reality behind staff safety and clinical decisions in remote settings
You can find out more about PAMS here.
Acknowledgement of CountryWe acknowledge the Traditional Custodians of the land on which this episode was recorded and the communities discussed.
We pay our respects to Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander peoples listening.
We recognise the deep spiritual connection Aboriginal peoples have to land, water, and culture, and honour their enduring presence and knowledge systems, which have existed for tens of thousands of years.
From the Battlefield to the Humanitarian Mission with Ryan Ahlgren
The Sky Isn’t the Limit: Shawna Pandya on Spaceflight, Science and the Future of Space Medicine
Meet Shawna Pandya, Physician, Neuroscientist, and now Canada’s First Female Commercial Astronaut.
In this inspiring episode of the World Extreme Medicine Podcast, we sit down with Shawna to unpack her journey from childhood dreams of space to preparing for her Virgin Galactic mission.
We explore:
Her selection as part of the Virgin Galactic research crew
The science behind her mission, including microgravity, diabetes research & emergency medicine in space
How she balances medicine, research, teaching, and astronaut training
Her thoughts on the future of commercial spaceflight and why it’s not just for engineers
The power of mindset, resilience, and saying yes to big challenges
Whether you’re a med student, space nerd, or someone chasing a big dream, this one’s for you!
🛰️ Find out more about the WEM Conference & our Space Medicine Course: https://worldextrememedicine.com/extreme-medicine-courses/space-medicine-course/
#SpaceMedicine #WomenInSTEM #WEMPodcast #ShawnaPandya #VirginGalactic #ExtremeMedicine
Healthcare in First Nations Communities with Dr Sarah Chalmers
In this episode, we explore the deeply rooted and culturally rich world of First Nations healthcare in Australia with Dr Sarah Chalmers; Rural Generalist, former President of the Australian College of Remote and Rural Medicine (ACRRM), and President-Elect of the Rural Doctors Association of Australia.
With over 15 years of experience working in East Arnhem Land and North Queensland, Sarah shares a powerful and personal insight into what it truly means to deliver care in remote First Nations communities, where connection to land, kinship, and culture profoundly shape every aspect of medicine.
Together, we unpack the realities of working in low-resource environments, navigating environmental extremes, and building trust within culturally diverse and remote communities. Sarah speaks candidly about the ongoing impact of racism, the importance of cultural competence, and the role of traditional healing in creating meaningful, community-led healthcare.
This conversation goes beyond clinical care to explore what it means to listen deeply, communicate with cultural humility, and show up for patients in ways that respect and honour their lived experience. It’s an emotional, honest, and essential discussion for anyone working in (or curious about) remote and rural medicine.
This episode is part of our ACRRM series, spotlighting rural and remote healthcare professionals making a difference at the very edges of medicine.
ACRRM acknowledges Aboriginal and Torres Strait Islander peoples as the custodians of the lands and waters where our members and staff work and live across Australia. We pay respect to their elders, lores, customs and dreaming. We recognise these lands and waters have always been a place of teaching, learning, and healing.
#RemoteMedicine #RuralHealthcare #FirstNationsHealth #CulturalCompetence #RuralMedicineAustralia #IndigenousHealth #CommunityLedCare #HealthcareAccess #CulturalHumility #ACRRM #MedicalPodcast #WEMPodcast #AustralianHealthcare
Critical Care at 30,000 Feet – The Reality of Aeromedical Retrieval with Mina Arsanious
🎧 A quick note on audio quality: Due to remote recording, some parts of this episode may not be as clear as usual. We appreciate your patience and promise the insights are well worth the listen!
What happens when critical care leaves the hospital and takes to the skies?
In this episode of the World Extreme Medicine Podcast, we sit down with Mina Arsanious, an expedition doctor and anaesthetic registrar working in aeromedical retrieval with the Royal Flying Doctor Service (RFDS) in Australia.
Mina shares real-life case studies from one of the world’s busiest retrieval services, highlighting the unique challenges of providing emergency care mid-flight, where turbulence, vibration, and limited resources mean every decision is critical.
In this episode, we cover:
- How do you manage unstable patients mid-flight?
- The dangers of airway burns & prolonged retrieval times
- What happens when you run out of blood or fluids in the air?
- The impact of turbulence, extreme temperatures & vibration on patient care
- Why adaptability, communication & preparation are vital in retrieval medicine
Aeromedical retrieval is one of the most high-pressure, fast-paced fields in medicine, where there’s no hospital, no backup, and no room for mistakes.
Whether you’re in healthcare or just fascinated by extreme environments, this episode pulls back the curtain on the realities of medicine in the air.
Listen now & experience the world of aeromedical retrieval!
Click here to find out more about Flying Doctors & to support the work of Mina and other doctors in outback NSW.
#ExtremeMedicine #AeromedicalRetrieval #EmergencyMedicine #RoyalFlyingDoctors #WildernessMedicine #Podcast
Event Medicine in The Great Outback with Dr Prashan Kuruppu
In this episode, we dive into the fast-paced world of event medicine in remote Australia with Prashan Kuruppu, a rural generalist anaesthetist and Member of the Australian College of Rural and Remote Medicine (ACRRM) Assessment Committee, with extensive experience in Outback and retrieval medicine.
From high-speed trauma and medical crises in extreme weather conditions to the unique challenges of remote evacuations and resource-limited environments, Prash shares firsthand insights into the unpredictable nature of event medicine.
Beyond the clinical challenges, we delve into the critical role of teamwork, adaptability, and risk mitigation, as well as the immense satisfaction that comes with ensuring the safety of participants in these extreme settings.
This episode is part of our ACRRM series, highlighting the remarkable work of rural and remote medical professionals pushing the boundaries of healthcare in extreme environments.
53 Days Alone in Antarctica: Inside Cat Burford's Unforgettable Trek
53 Days. 700 Miles. Alone in Antarctica.
What does it take to survive completely alone in one of the most extreme environments on Earth?
In this episode of the World Extreme Medicine Podcast, we sit down with Cat Burford, also known as The Molar Explorer. A dentist by profession and an adventurer at heart, Cat took on a solo, unsupported ski expedition to the South Pole, covering over 700 miles in -40°C temperatures while pulling a 100kg sled.
She shares:
- The moment that almost ended her expedition
- How she trained for the mental and physical toll of the journey
- The unexpected ways her medical background helped in the field
- What it’s really like to spend 53 days in total isolation
- Her biggest lessons in resilience, endurance, and adventure
If you’re fascinated by extreme environments, human endurance, and the mindset required to push beyond limits, this is an episode you won’t want to miss.
Follow Cat’s Journey:
Instagram
Website
The Heart of Remote Healthcare with Claire Arundell
In this episode we explore the evolution of remote and rural healthcare in Australia with Claire Arundell, a Rural Generalist Anaesthetist from country Victoria and Chair of the Australian College of Rural and Remote Medicine (ACRRM) Council.
Claire shares her journey from completing her medical degree at Monash University to becoming an ACRRM medical educator, course facilitator, and passionate advocate for the next generation of rural generalists. Working across primary care and hospital settings in some of the most remote parts of Australia, including external territories like Norfolk Island, Claire combines advanced medical expertise with a deep connection to the communities she serves.
Beyond her clinical and leadership roles, Claire’s story is as adventurous as it is inspiring. She and her partner live in a camper-van, driving slowly around Australia, where she spends her spare time hiking, scuba diving, and even pretending to surf. Her passion for rural health advocacy is matched by her dedication to showing future health professionals the incredible opportunities in rural medicine.
This episode is part of our series showcasing the brilliant talent and impactful work of ACRRM members, who are driving excellence, innovation, and equity in rural and remote medicine.
From Antarctica to Tonga: Faye Lee on Conservation Medicine in Namibia
Note: We apologise for any varying audio quality in this episode. As Faye joined us from Tonga with breaching whales in the background (how cool is that?!), there are some moments where the sound fluctuates.
We believe the incredible content and unique perspective from (literally) the other side of the world was worth preserving, even if the audio isn't perfect.
Thanks for understanding - sometimes catching our guests between adventures means working with what we've got!
Join Sarah Spelsberg as she interviews emergency physician and global adventurer Faye Lee about the World Extreme Medicine Conservation Medicine Course in Namibia.
From darting lions for health checks to working in resource-limited clinics, Faye shares her incredible experiences at N/a’an ku sê.
Discover how this unique course combines wildlife conservation, community healthcare, and the management of human-wildlife conflicts in one of Africa's most fascinating countries.
Learn about snake bite management, wildlife rehabilitation, and how local communities work together to protect both people and animals. Faye also shares inspiring insights about giving back to communities worldwide and seizing unconventional opportunities in medicine.
Want to experience this yourself?
The WEM Conservation Medicine Course offers hands-on experience with wildlife medicine, remote clinic work, and conservation efforts. Join us in Namibia for an unforgettable week that will change your perspective on medicine and conservation forever.
Learn more about the Conservation Medicine Course here.
From Desert to Delivery: Life as Australia's outback Doctor with Marian Dover
In this inaugural episode of our partnership with the Australian College of Rural and Remote Medicine (ACRRM), we journey into the heart of Australia's remote healthcare system with Marian Dover, ACRRM's 2024 Rural Registrar of the Year.
From performing emergency caesarean sections to building deep community bonds, discover how rural generalists are revolutionising healthcare in some of the most isolated parts of the world.
Marian shares intimate stories of trust, resilience, and the unique rewards of practicing medicine where the nearest hospital is 827 kilometres away.
Join us as we explore ACRRM's vision of excellence in rural and remote medicine through the eyes of one of its most promising doctors.
Learn more about ACRRM here: https://www.acrrm.org.au/
The Secret Medicine Cabinet: How Chimpanzees Use Plants to Heal with Elodie Freymann
Join primatologist Elodie Freymann as she reveals fascinating discoveries about how wild chimpanzees self-medicate using forest plant Alstonia boonei. Through nine months of field research, Elodie observed chimps selecting specific barks, leaves, and other plant materials to treat wounds and infections - practices that often overlap with traditional human medicine. She discusses groundbreaking findings in zoopharmacognosy (animal self-medication), the importance of preserving these forest "medicine cabinets," and what chimp healing behaviours can teach us about new medicinal compounds. From pro-social care among chimps to the intersection of traditional healing knowledge, this episode explores the remarkable intelligence of our closest animal relatives and their sophisticated relationship with medicinal plants.
NASA's Earth Action Program: Space Technology Monitoring Global Health
Join Sarah Spelsberg as she speaks with NASA experts John Haynes and Helena Chapman about how NASA's unique vantage point from space helps monitor and address global health challenges.
Discover how satellite data is being used to track everything from air pollution and urban heat islands to disease outbreaks and extreme weather events. Learn about NASA's free resources for healthcare professionals and scientists, and hear about opportunities for involvement through internships and collaborations. Find out more: https://earth.gov
Please note: there is some 'clicking' sounds at the start of this session that we were unable to remove - we have edited as much as possible and the sound should be less apparent from about the 10 minute mark.
Wild Surgery: From Brain Surgery on Bears to Anaesthetising Tarantulas with Romain Pizzi
Join Sarah Spelsberg as she interviews pioneering wildlife veterinary surgeon Romain Pizzi, who has performed groundbreaking surgeries in nearly 50 countries across six continents.
From conducting the world's first keyhole appendectomy on a wild orangutan to performing brain surgery on a bear in the jungles of Laos, Romain shares incredible stories of improvising surgical equipment and pushing the boundaries of veterinary medicine in the most challenging environments.
In this episode, discover how Romain uses everything from mattress pumps to teaspoons to save endangered species, and hear firsthand accounts of operating in conflict zones, dealing with waking tigers, and developing innovative surgical techniques for animals ranging from massive elephants to tiny tarantulas.
This conversation offers a unique glimpse into the world of extreme veterinary medicine, where ingenuity and dedication combine to protect some of the world's most remarkable creatures.
You can find out more about Romain, his work and get his book by visiting his website.
Will Millard: 30 Days Lost in Earth's Most Remote Jungle
Explorer and BBC presenter Will Millard takes us deep into the jungles of Papua New Guinea, sharing his extraordinary experiences living with the Korowai tribe.
From debunking myths about 50-meter-high tree houses to nearly starving during the rainy season, Will reveals the raw reality of jungle survival and indigenous life.
He discusses how a near-death experience in 2012 transformed his approach to exploration, and shares intimate insights into the Korowai's spiritual beliefs and their complex relationship with the outside world.
This episode offers a rare glimpse into one of the world's most remote cultures and the profound personal growth that comes from pushing beyond your comfort zone.
You can find out more about Will, his expeditions & check out his newest publications here.
Say Yes to Adventure: Faye Lee's Journey Through Extreme Medicine
Join Sarah Spelsberg as she interviews emergency physician Faye Lee, who has created an extraordinary medical career spanning from Antarctic research stations to expedition ships.
From performing emergency surgeries in remote locations to providing care on Indian reservations, Faye shares how embracing unconventional opportunities led her to practice medicine in some of the world's most extreme environments.
Learn how her "work hard, play hard" philosophy and willingness to say "yes" to unexpected challenges has shaped a fulfilling career combining adventure with meaningful medical practice.
This episode offers invaluable insights for healthcare professionals seeking to break free from traditional career paths.
Commercial Planes: The New Flying Hospitals - Humanitarian Aeromedical Retrieval using a Long-Range Commercial Aircraft
Grizzly Confidential: Respecting the Bear's World with Kevin Grange
Join Sarah Spelsberg as she interviews Kevin Grange, firefighter paramedic and award-winning author, about his latest book "Grizzly Confidential."
Dive into the fascinating world of North America's most fearsome predator, exploring the challenges of human-bear coexistence, the importance of conservation, and the surprising intelligence of these magnificent creatures.
From Yellowstone to Alaska, Grange shares his experiences and insights, offering a unique perspective on our relationship with grizzly bears.
You can meet Kevin at this years World Extreme Medicine Conference!
Beyond the Comfort Zone: Clinical Education and Humanitarian Work with Tim Harvey pt.2
In this second part of our conversation with Tim Harvey, we delve into his journey through clinical education and his transition to medicine.
Tim shares invaluable insights on teaching philosophy, managing change in healthcare settings, and the challenges of introducing new roles like nursing associates. He discusses the importance of balancing work and life, especially during intense humanitarian deployments.
Tim also opens up about his preparation for upcoming overseas missions and the personal toll of such work.
This episode offers a unique perspective on the evolving landscape of healthcare education and the dedication required for humanitarian work.
Courage Under Fire: A Nurse's Tale of Humanitarian Work in Conflict Zones Pt. 1
In this gripping two-part episode of the podcast, Eoin Walker sits down with Tim Harvey, a former humanitarian nurse turned medical student. Tim shares his harrowing experiences working in some of the world's most dangerous and desperate locations.
From treating Ebola patients in Sierra Leone to managing mass casualties in war-torn Afghanistan, Tim provides a raw and unfiltered look into the realities of humanitarian work. He recounts heart-wrenching decisions, ethical dilemmas, and the constant threat to his own safety.
Tim's story is one of resilience, compassion, and the harsh realities of global healthcare disparities. He discusses the emotional toll of his work, including PTSD and readjustment challenges, while still emphasising the profound impact and personal growth these experiences offered.
This episode offers listeners a rare glimpse into the world of frontline humanitarian healthcare, exploring both its darkest moments and its capacity to inspire. Tim's journey from nurse to medical student provides unique insights into different healthcare roles in crisis situations.
Whether you're interested in global health, considering a career in humanitarian work, or simply seeking to understand the complexities of healthcare in extreme environments, this episode promises to be both enlightening and deeply moving.
If this is a field you're interested in, why not check out our Humanitarian Medicine Courses.
Adventure Travel Unveiled: Essential Tips from Seasoned Explorers Ffyon Davies and Gemma Aldridge
Join us for an insightful journey into the world of adventure travel with seasoned explorers Ffyon Smith (née Davies) and Gemma Aldridge.
In this episode, our guests share invaluable tips on planning, safety, cultural sensitivity, and overcoming challenges in remote destinations.
From navigating language barriers to handling emergencies, Ffyon and Gemma offer practical advice drawn from their extensive travel experiences across the globe.
Whether you're a novice traveller or a seasoned adventurer, this episode is packed with wisdom to enhance your next expedition.
Follow Ffyon & Gemma on Instagram to keep up to date on their adventures!
Livingstone Revisited: Revolutionising Healthcare in Zambia's Wilderness with Daniel Grace
We're pleased to welcome back Daniel Grace to the podcast where he discusses the groundbreaking Livingstone Revisited 2024 expedition.
This 2000km journey through Zambia aims to transform healthcare accessibility in remote areas using telemedicine, solar power, and innovative snake bite training.
Learn how this modern expedition honors David Livingstone's legacy while addressing critical health challenges in Africa.
Thriving Alone in the Wild with Teimojin Tan
Sarah Spelsberg sits down with Teimojin Tan, emergency physician and participant on Season 9 of the hit survival show "Alone".
Teimojin shares insights from his time in the wilderness of Labrador, discussing his unique approach to survival medicine, the mental challenges of isolation, and how his experiences have shaped his medical practice.
From innovative uses of everyday items to the importance of resilience, this episode offers valuable lessons for both medical professionals and outdoor enthusiasts.
Beyond the Blizzard: on the Realities of Polar Medicine with Kasper Jæger
In this episode of the World Extreme Medicine podcast, host Eoin Walker speaks with polar expedition leader Kasper Jæger about the unique challenges of practicing medicine in the Arctic.
Kasper shares insights from his extensive experience guiding in Svalbard and Antarctica, discussing everything from frostbite prevention to evacuation challenges.
Learn about the psychological impacts of extended polar expeditions, the importance of personal admin in extreme environments, and how medical professionals can prepare for work in these harsh conditions. Whether you're considering a career in polar medicine or simply fascinated by survival in extreme cold, this episode offers a captivating look into one of the world's most challenging medical environments.
Find out more about our Polar, Winter & Svalbard Expedition here.
Beyond Tourniquets: Rethinking Haemorrhage Control with Henrik Hedelin
Join experienced consultant orthopaedic surgeon Henrik Hedelin as he shares invaluable insights on haemorrhage control in resource-limited settings.
Drawing from his extensive field experience in conflict zones and humanitarian missions, Henrik challenges conventional wisdom and offers practical, life-saving techniques for managing severe bleeding.
This eye-opening discussion covers the nuances of wound packing, the overuse of tourniquets, and the critical importance of context-specific approaches to trauma care.
Whether you're a medical professional, first responder, or anyone interested in emergency medicine, this episode offers essential knowledge that could make the difference between life and death in austere environments.
From Sailing the Atlantic to High-Altitude Rescues: A Military Reservist's Journey with Sophie Camp
Join us for an exhilarating conversation with Sophie Camp, a GP trainee and Army Reservist, as she shares her incredible journey from medical school to high-altitude expeditions in the Karakoram.
Sophie recounts her harrowing experiences during a tri-service expedition to Pakistan, where she faced rockfalls, avalanches, and life-threatening medical emergencies at extreme altitudes.
Learn how her military training prepared her for these challenges and discover the unique opportunities available to medical professionals in the reserves.
From sailing across the Atlantic to providing critical care in remote locations, this episode offers invaluable insights into the world of extreme medicine and the benefits of a portfolio career.
Whether you're a medical student, a practicing physician, or simply curious about adventure medicine, this episode is packed with inspiration and practical advice for those seeking to push their boundaries in healthcare.
On the Front Lines of Humanitarian Medicine in Gaza with Hareen De Silva
In this episode we welcome back Hareen De Silva, a GP who recently returned from a deployment to Gaza with CADUS, a German NGO.
Hareen shares his experiences working in a trauma stabilisation point amidst active conflict, managing a diverse international team, and dealing with the psychological impact of humanitarian work in extreme environments.
From mass casualty incidents to the challenges of daily life in a war zone, this episode offers a raw and insightful look into the realities of providing medical care in one of the world's most dangerous areas.
“We don't know if he's alive or dead, and we don't know if others have been shot.” Saving Lives in Chaos: Trauma Tales with Bill Griggs
In this in-depth episode, Sarah is joined by the incredible Bill Griggs, a highly acclaimed Australian physician and trauma specialist who has left a mark on the field of medicine through his innovative contributions to trauma care and disaster response.
With his career spanning over four decades, Bill has been a true pioneer in the development of life-saving techniques, including the Griggs Technique, for aiding breathing issues.
Bill’s expertise extends beyond the boundaries of Australia as he has played pivotal roles in international disaster relief efforts, as well as in a number of military deployments, starting with the 1991 Gulf War, where he served on a US Navy hospital ship and aircraft carrier, a dedicated educator and leader in the healthcare community.
Alongside sharing his amazing stories of heroism, Bill talks about the impact these experiences had on his mental health and the importance of reaching out for help when you truly need it.
Listen to Bill share his first-hand accounts & show why he is a true inspiration to all of us!
"This is about giving people a skill set that gives them more confidence." A Groundbreaking Course for Remote Animal Care with Tom Roffe-Silvester
This week Lauren McKenna sits down with Tom Roffe-Silvester, co-founder and managing director of the Veterinary Task Force and Exped Vet.
Tom shares his journey working with operational working dogs in the military and how this experience led him to create a company that provides essential veterinary care solutions for working dogs in challenging environments.
He also discusses the groundbreaking new course, Expedition Veterinary Medicine, developed in collaboration with World Extreme Medicine.
This course aims to empower veterinary and medical professionals with the skills and knowledge needed to excel in remote and austere settings.
Join us as we explore the cutting-edge world of expedition veterinary medicine and the incredible impact it can have on animal welfare in extreme conditions.
Floating Doctors: Delivering Healthcare to the World's Most Remote Communities with Ben LaBrot
Ben LaBrot, founder and CEO of Floating Doctors, joins us this episode where he shares his incredible journey of delivering healthcare to remote, underserved communities around the world.
Ben discusses the challenges and rewards of providing medical care in resource-limited settings, the importance of building trust with patients, and the profound impact that humanitarian work can have on both healthcare providers and the communities they serve.
From his accidental beginnings in Tanzania to his current work in Panama, Ben offers valuable insights into the world of global health, the power of experiential learning, and the importance of persistence and adaptability in the face of adversity. He also shares his vision for the future of Floating Doctors and how others can get involved in this life-changing work.
Whether you're a healthcare professional, a student, or simply someone passionate about making a difference, this episode will leave you feeling inspired and motivated to take action. Join us as we explore the incredible world of Floating Doctors and discover how one person's passion can change countless lives.
Empowering Women in HEMS: Jessica Thomas-Mourne's Groundbreaking Research
“Everything you take into space with you has to serve a purpose” Beyond the Stars: Packing the Perfect Space Medical Kit with Dr. Michael Harrison
In this captivating episode, we are honoured to be joined by the esteemed Dr. Michael Harrison, MD PhD MPH FAsMA, a leading authority in the field of aerospace medicine.
Dr. Harrison currently serves as the Chief Medical Officer of Hercules Medical Group, a renowned Texas-based entity dedicated to providing comprehensive medical care and consultation to Axiom Space and their astronauts.
With an impressive background spanning over 12 years in aerospace medicine, Dr. Harrison also holds the prestigious position of Chief Medical Officer for Axiom Space.
In this role, he advises the company's C-Suite on all aspects of human health and safety, offering invaluable risk analysis for off-nominal commercial spaceflight missions.
Throughout the episode, Dr. Harrison delves into the unique challenges and considerations involved in packing medical kits and supplies for space missions. He shares his wealth of knowledge on managing health issues in microgravity environments and provides exclusive insights into the groundbreaking developments taking place at Axiom Space in the realm of commercial spaceflight.
Join us as we explore the intricacies of packing both your medical kit and the rest of your gear for space, with special considerations that are essential for the success and safety of any mission.
Don't miss this opportunity to learn from one of the foremost experts in the field and gain a deeper understanding of the fascinating world of space health and medicine.
"Failing to prepare is preparing to fail." Publishing Research in an Academic Journal with Marius Rehn
In this episode of the World Extreme Medicine Podcast, host Eoin Walker speaks with Marius Rehn, Editor-in-Chief of the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, about the ins and outs of publishing research in an academic journal.
They discuss the importance of aligning research with the scope of the chosen journal, common mistakes authors make when submitting manuscripts, navigating the peer review process, and tips for increasing publicity of published work. Rehn emphasises the importance of passing the "so what" test - ensuring research addresses a fundamental question that will benefit the community of practice and ultimately patients.
He also highlights the need for brevity and conciseness, keeping in mind the busy clinician audience.
Tune in for valuable insights on smoothly navigating the academic publishing journey from an expert editor's perspective.
"We should be having these conversations openly. But it’s difficult, and it’s personal." Navigating Women's Reproductive Health in Extreme Environments with Mabli Davies
In this episode, Sarah Spelsberg is joined by the brilliant Mabli Davies, an anaesthetics trainee and expert in women's health in extreme environments.
Mabli shares her personal experiences and research on managing menstruation, pregnancy, and reproductive health in the world's most challenging conditions.
Drawing from her master's dissertation on menstruation management and suppression in austere environments, Mabli provides invaluable insights, practical tips, and strategies for women facing physical, psychological, and environmental challenges during their menstrual cycles on expeditions.
The conversation delves into the importance of preparation, hygiene, fitness, and sleep in supporting women's health in the wilderness.
Mabli also discusses the role of expedition medics in promoting inclusivity and breaking the stigma surrounding women's health in extreme environments.
This podcast is a must-listen for anyone interested in the intersection of women's health and adventure medicine.
"It's never too late to dive in and it's kind of amazing what the opportunities will turn out to be." Diversity in Expeditions Week Podcast Special
Welcome to Diversity Week!
In this special episode, a diverse panel of medical professionals, eye surgeon and Sikh warrior Pavandeep Singh, NHS & wilderness expedition Dentist Burjor Langdana, emergency physician and paediatrician Terez Malka, explorer, aquanaut, MD & Director of space medicine group Astronautics Institute Shawna Pandya, UK GP studying tropical medicine Chern Lim, and GP & humanitarian doctor Hareen Di Silva, share their unique journeys into expedition medicine.
Despite coming from various backgrounds and facing challenges, they found their passion for practicing medicine in extreme environments by seizing opportunities, developing skills, maintaining fitness, and believing in themselves.
The guests discuss the importance of mentorship, support networks, and the welcoming nature of the expedition medicine community.
They emphasise that it's never too late to get started and encourage aspiring wilderness medics to dream big and take steps to pursue this fulfilling career path.
"Reducing the burden on the local healthcare was probably one of the major advantages.” The Role of Remote Teleradiology With Niccolo Stomeo
"We were living 300 meters away from airstrikes" - Harrowing Gaza Deployment with MSF, Paediatric Nurse Lucy Williams Shares
In this riveting episode of the World Extreme Medicine Podcast, we sit down with WEM faculty Lucy Williams, a seasoned paediatric nurse who recently returned from a life-altering deployment to Gaza with Médecins Sans Frontières (MSF).
From the relative normalcy of Egypt to the war-torn streets of Gaza, Lucy takes us on an emotional journey through her experiences working in a hospital mere meters away from the heart of the conflict.
She shares powerful stories of resilience, hope, and heartbreak, including the tale of a family struggling to survive the aftermath of a devastating blast.
Discover the challenges faced by humanitarian workers in one of the world's most volatile regions, as Lucy provides a rare glimpse into the day-to-day realities of delivering critical care in the face of unimaginable adversity.
Whether you're a healthcare professional considering a career in humanitarian aid or simply someone looking to better understand the human cost of conflict, this episode offers a raw, unfiltered look at the courage and compassion of those who risk everything to help others in need.
You can also watch this episode over on our Youtube channel here.
"Expect the Unexpected and Always Think Heatstroke" - Exercise Associated Collapse with Luca Carenzo
In this conversation with Luca Carenzo, we delve into the complexities and challenges surrounding Exercise Associated Collapse (EAC).
Drawing from a recent publication in the Journal of Science and Medicine in Sport titled "An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical Care at Endurance Mass Participation Events," we unravel a fascinating case that sheds light on the importance of a thorough diagnostic approach and multi-disciplinary collaboration in EAC management.
Luca, an esteemed Anaesthetic and Critical Care consultant from Milan, Italy, shares his insights on empirically proven treatments for EAC and how this unique case has reshaped his perspective on the differential diagnoses in EAC.
We explore the significance of patient-focused research, the power of intra-specialty collaboration, and the potential for EAC collated databases to advance our understanding of this complex condition.
With a rich background working at The Royal London Hospital Adult Critical Care Unit, participating in mission work with Doctors without Borders, and serving as a faculty member at World Extreme Medicine, Luca brings a wealth of expertise to the discussion.
Currently, he works at the Instituto Clinico Humanitas, Department of Anaesthesia and Intensive Care Medicine in Milan, and serves as a consultant for iHelp, an Italian critical care company dedicated to mass event medical care.
Join us for an enlightening exploration of EAC that will challenge your assumptions and inspire a more comprehensive approach to patient care in endurance events.
This paper is also mentioned in the episode:
Sudden cardiac arrest in a marathon runner: a case report
Please note: this episode was originally aired on The Pre-Hospital Care Podcast. World Extreme Medicine was given permission by the podcast host to share this episode.
"This is not for the faint of heart, it's a true test of your physical and mental strength" - Selvaggio Blu Expedition with Luca Alfatti
"Every Minute CPR is Delayed, There's a 10% Less Chance of Success" - Mike Tipton on Drowning
In this episode, we explore the fascinating world of drowning and cold water immersion with Mike Tipton, a leading UK academic in the field. Mike shares his insights on the current guidelines for pre-hospital management of drowning, the epidemiology of drowning, and the important efforts in public awareness and prevention.
We delve into the drowning process, including the pathophysiology from the point of submersion and the concept of autonomic conflict. Prof. Tipton also discusses the prognostic factors for drowning survivors and the remarkable case reports of prolonged submersion in cold water.
Additionally, we learn about the background of the "Float to Live" campaign and the challenges faced by organisations like the RNLI in effectively dealing with drowning prevention.
Join us for an insightful discussion that takes us from the lab to lifesaving, as we explore the science behind one of the world's most overlooked public health issues.
Please note: this episode was originally aired on The Pre-Hospital Care Podcast. World Extreme Medicine was given permission by the podcast host to share this episode.
"The volcano both gives and takes life." - Eruption on Expedition with Ryan Atkinson
"I've never forgotten how little someone could value someone else's life." - Exploring Remote Medicine Across 7 Continents with Jen Pond
In this fascinating episode, we are joined by Jen Pond, a Doctor who has practiced medicine in some of the most remote and challenging environments on all seven continents.
From providing primary care in the Indian Himalayas and managing anthrax outbreaks in rural Zambia, to supporting climbers at Everest Base Camp and treating severe frostbite in Antarctica, Jen has built an incredible breadth of experience in expedition and wilderness medicine.
Currently, Jen works in Nunavut, Canada, delivering healthcare to the indigenous Inuit population in resource-limited settings, often as the sole doctor for hundreds of miles.
She shares captivating stories and hard-earned wisdom from her diverse career journey. Jen discusses the challenges and rewards of practicing medicine in different cultures, the importance of being adaptable and finding support networks, and the privilege of a profession that allows one to connect with people in meaningful ways worldwide.
Her inspiring reflections will resonate with anyone curious about the joys and difficulties of providing care in remote, underserved areas.
Tune in for a compelling exploration of the art and science of medicine at the edges of the map, and hear Jen's advice for those aspiring to unconventional and fulfilling careers:
"Take opportunities...We're so lucky, we have this profession that's transferable into every place with every person with every culture...Take advantage of it. Learn from it."
You can contact Jen directly at jpfernie@gmail.com
"We establish critical care without walls" - Marius Rehn on the groundbreaking work of the Norwegian Air Ambulance
Join us as we explore the groundbreaking work of the Norwegian Air Ambulance (NOLAS), one of the world's most advanced HEMS services, with special guest Marius Rehn, a luminary in pre-hospital critical care.
Marius, a consultant anaesthesiologist, senior researcher, and professor, brings unparalleled insights into NOLAS's unique service model, which employs flight crews of nurses and doctors to deliver life-saving care across Norway.
We'll delve into NOLAS's three key domains of service improvement—research, skill training, and innovation—and discover how they synergistically elevate patient outcomes. From cutting-edge studies on stroke care and cardiac arrest to the development of safe flight routes and a dedicated research helicopter, NOLAS's commitment to pushing boundaries in emergency medicine is truly inspiring.
Marius will also share invaluable lessons for aspiring professionals seeking to emulate NOLAS's ethos of excellence in pre-hospital care.
Buckle up for a captivating journey through the vanguard of HEMS, as we uncover the secrets behind this remarkable service.
"You either step up or you don't." A Medic's Experience in International Rescue with Jamie Pattison
In this episode Jamie Pattison, a winch paramedic, recounts his deployment to Morocco with UKISAR (U.K. International Search and Rescue) following the devastating earthquake.
He shares the emotions of arriving onsite to mass destruction and loss of life, the resilience required for working 16 hour shifts, and the camaraderie that develops between rescue teams.
Jamie compares the rigorous training that prepares UKISAR volunteers to the harsh realities witnessed, and discusses the mental health support available for aid workers. From aftershock tremors to minor injuries that disguise the true impact, Jamie gives a sobering account of the Morocco earthquake while highlighting the humanity and hope that emerges during crisis.
Outer Hebrides Medicine: A Rural Doctor's Challenges and Rewards with Kate Dawson
Running to the Extreme: Amy Boalch Talks Medicine in Endurance Sports
Combatting Stress with Comedy: A Tactical Approach in Military Service with Tyler Butterworth
In this episode we sit down with the multifaceted Tyler Butterworth, an Army National Guard member with an impressive resume including roles as an EMT, firefighter, police officer, detective, and farmer. Tyler, who has embraced his quirky last name "Butterworth duh syrup," brings to the table a unique perspective on using humour as an effective tool to cut through the tension in high-stress jobs, such as those in military service and emergency medicine.
We'll uncover the uplifting story of how a squad leader's humorous approach made a world of difference in Tyler's day. We'll also discuss how choosing laughter over tears can be a valuable coping mechanism in tough situations. Tyler shares insights on reading the room to tailor your humour and the importance of knowing when to switch gears and be serious.
We'll delve into the long-term benefits of good-natured fun on morale, mental health, and even on the homefront, as Tyler credits his wife's unwavering support as a pillar in maintaining his positivity and calm, even in the face of adversity.
Expedition Medic Ben Cooper: "A £1 bandage could have saved his finger and $70,000" - Field Strategies for Treating Injuries
In this episode, expedition medic Ben Cooper shares cautionary tales revealing why you should never skip basic wound care in the wilderness.
You’ll hear the story of how a minor cut led to a man’s frostbitten thumb being partially amputated during an Antarctica summit attempt - costing him $70K! It powerfully spotlights why immediate bandaging matters.
Discover essential strategies for backcountry wound management:
- Address patients’ full situation first before treating ("bodies before bandages”)
- Use Sharpies to monitor infections and antibiotic need
- Take daily wound photos to track healing progress
- Follow the “4 Ls” to assemble medical kits (Legal, Lightweight, Low-cost, Lots of uses)
With insights for improvising care from sandwich bags to dental floss, plus tips on blister prevention, sun protection, and judging evacuation timing, it’s an eye-opening lesson in avoiding nasty medical complications off the grid.
Tune in to hear cautionary tales and essential wound wisdom you’ll want etched on your brain before venturing into the wild!
Extreme Nutrition for Extreme Conditions with Ben Turner
Whether you're preparing for a high-altitude climb, running an ultramarathon, or embarking on a demanding expedition, today's episode is packed with wisdom that could be pivotal for your success. Joining us is Ben Turner, the Avenger coach, a former soldier turned extreme endurance challenger, ready to share his incredible insights into the fuel that drives exceptional physical feats.
Ben's expertise stems from his profound personal journey through the challenges of nutrition and fitness. After serving in the British military, he faced the harsh realities of inadequate nutrition and bounced back by diving deep into evidence-based nutritional practices. As Ben guides us from high-calorie foods to the nuances of hydration and electrolytes, he uncovers the secrets to effective fuelling strategies tailored to lofty adventures.
We'll unpack the vital role of macronutrients and micronutrients, decipher the myths surrounding common diet biases, and scrutinise the relationship between our food choices, our environment, and our overall health. Ben emphasises the need for a simple, balanced approach, with a strong focus on the fundamentals of good nutrition, minus the distraction of trendy "clickbaity" fads.
We look at the importance of training your mind as much as your body, as Eoin and Ben explore the practicalities of preparing your digestive system for extreme conditions, the impact of biases on our understanding of health, and the paramount importance of individualised nutrition. Whether you're looking to manage weight, enhance performance, or simply maintain a healthy diet amidst your active lifestyle, this episode is an essential listen for anyone who wants to make food a cornerstone of their well-being.
Delivering Healthcare Against the Odds: A Flight Surgeon's Insightful East African Missions - Marc-David Munk
In this episode we dive deep into the extraordinary experiences of Marc-David Munk, an emergency doctor who served as a flight surgeon in 11 East African countries.
We explore his newly published book, Urgent Calls from Distant Places, which documents his time in Africa and the challenges he faced in providing healthcare amidst severe trauma, disease, and diverse pathology.
Marc shares his journey from an uncertain university student to becoming a doctor, and ultimately finding his purpose in serving the medical needs of African communities.
We unpack the themes of empathy, self-discovery, and the "hero's journey" within the context of extreme medicine.
Join us to gain insights into Marc's compelling narrative and the profound impact of his experiences.
You can order Urgent Calls from Distant Places January 30, 2024, There'll be a Kindle version on Amazon.
Raising Explorers: The Impact of Wilderness Journeys on Kids with Gem Aldridge
On this episode we have the pleasure of speaking with Gemma Aldridge, whose expertise as a practice development nurse and mountain leader fuels our conversation.
Gemma brings to the table a unique blend of experience with young people, and an unyielding passion for expedition medicine. We're going to explore the multifaceted benefits of bringing young people into the great outdoors, where they can push their boundaries, develop essential life skills, and discover an inner resilience they may have never known they had.
However, no adventure comes without its challenges. From adjusting to different diets and living in close quarters to the necessity of proper equipment and ensuring safety, Gemma will share her strategies for effectively managing these aspects, as well as her insights on the differences in adaptability between children raised in urban and outdoor environments.
The importance of communication is also on the agenda. Our conversation with Gemma will uncover how she uses innovative devices and tactics to stay connected with her loved ones during her extended periods away, striking a balance between her adventurous spirit and her family commitments.
Throughout the episode, we will touch upon serious topics such as managing disruptive behaviours and caring for ions serve not only as a path to growth for young people but also as a restorative escape for those who spend their lives helping others.
We discuss the transformative power of nature, the sense of community on the trail, and those fireside chats that can change a life.